The Jay Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

R 162100-0 Issued in MN

Legal business name

THE JAY CLINIC

Practice address

3257 19TH St. NW
Suite 1
Rochester, MN 55901-6786

Phone

(507) 424-0175

Fax

(507) 424-0179

NPI assigned

Dec 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jay Edward Fotland, NP

Title

President

Phone

(507) 424-0175

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275601668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 19TH STREET NW",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016786",
            "telephone_number": "507-424-0175",
            "fax_number": "507-424-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 19TH ST. NW",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016786",
            "telephone_number": "507-424-0175",
            "fax_number": "507-424-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JAY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOTLAND",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-424-0175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MN",
            "license": "R  162100-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Rochester, MN
• Providers in Rochester, MN by specialty
• Urgent Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.